Program Specialist (BHI)
Job Description
Department(s): Behavioral Health Integration
Reports to: Manager Behavioral Health
FLSA status: Non-Exempt
Salary Grade: E - $48,000 - $72,292
Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on
Thursday, March 14, 2024 at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. About CalOptima HealthAre you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health!
About the PositionThe Program Specialist (Behavioral Health) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of behavioral health (BH) services. Primary responsibilities include, but are not limited to, participating in and supporting BH workgroups, activities and projects focused on implementing targeted quality initiatives designed to improve access to care, awareness and understanding of BH services.
Duties & Responsibilities: - Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Reviews, monitors and tracks quality performance data related to, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS) and member and provider experience and access to care against internal and external benchmarks to identify performance gaps and identify opportunities for improvement in a timely manner.
- Assists with creating and updating project plans, develops and maintains process flows, maintains project related materials (ex., action plans, intervention logs, tracking and trending) and completes other project related tasks as needed.
- Creates, develops and edits member and provider communication pieces.
- Prepares and provides coverage for health fairs, continuing education events, material requests and educational sessions.
- Attends and supports cross-functional quality improvement work teams responsible for the identification, implementation and evaluation of BH quality improvement projects, activities and reports.
- Conducts comprehensive research on BH topics, interventions and best practices.
- Completes other projects and duties as assigned.
Experience & Education: - Bachelor's degree in public health, health policy, health care, public policy administration or related field required.
- 2 years of experience in a managed care organization required; preferably in behavioral health, quality, population health and/or health equity.
- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
- Have access to means of transportation for work away from the primary office approximately 20% of the time required.
Preferred Qualifications: - Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
Physical Demands and Work Environment:The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Physical demands: While performing duties of job, employee may be required to move about the organization and to travel to offsite locations. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Occasional travel to off-site locations is required.
- Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures.
Job Location: Orange, California
Position Type:
To apply, visit
https://jobs.silkroad.com/CalOptima/Careers/jobs/4552
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